Updates on Management of Intramedullary Spinal Tumors

<p>The management of intramedullary spinal cord tumors remains one of the most challenging clinical problems that one encounters as a spine surgeon. Here, as part of our NASS Spinal Oncology Podcast Series, Dr. Sheng-fu Larry Lo interviews Dr. Paul McCormick and Dr. George Jallo about updates and new research on the perioperative management of these lesions, including imaging features predicting resectability, tractography, intra-operative adjuncts to guide resection, extent of resection and outcomes, and the molecular landscape of these tumors.</p> <p>Moderator: Hesham Soliman, MD, MSc<br> Medical College of Wisconsin, Milwaukee, WI</p> <p>Chair: Sheng-fu (Larry) Lo, MHS<br> Northwell Neurosurgery, Great Neck, NY</p> <p>George I. Jallo, MD<br> Johns Hopkins Hospital, Baltimore, MD</p> <p>Paul McCormick, MD, MPH<br> New York-Presbyterian Hospital-Columbia, New York, NY</p> <p><em>References:</em></p> <p><em>Seaman SC, Bathla G, Park BJ, Woodroffe RW, Smith M, Menezes AH, Noeller J, Yamaguchi S, Hitchon PW. MRI characteristics and resectability in spinal cord glioma. Clin Neurol Neurosurg. 2021 Jan;200:106321.</em></p> <p><em>Egger K, Hohenhaus M, Van Velthoven V, Heil S, Urbach H. Spinal diffusion tensor tractography for differentiation of intramedullary tumor-suspected lesions. Eur J Radiol. 2016 Dec;85(12):2275-2280.</em></p> <p><em>Mensah-Brown KG, Germi JW, Quattrone F, Maloney-Wilensky E, Lee JYK, Chen HI, Schuster JM. Use of Second Window ICG in spinal cord biopsy of a mildly contrast-enhancing lesion: Technical note and review of the literature. Neurochirurgie. 2021 Jun 5:S0028-3770(21)00161-2.</em></p> <p><em>Vetrano IG, Gennari AG, Erbetta A, Acerbi F, Nazzi V, DiMeco F, Prada F. Contrast-Enhanced Ultrasound Assisted Surgery of Intramedullary Spinal Cord Tumors: Analysis of Technical Benefits and Intra-operative Microbubble Distribution Characteristics. Ultrasound Med Biol. 2021 Mar;47(3):398-407.</em></p> <p><em>Forbes JA, Teschan N, Jones SH, Parry P, Simonet L, Swamy NK. Cervical corpectomy for resect